We had a similar case about a month ago. I am not sure this is terribly
unsusual. I have seen two other adolescents present with overwhelming
meninigococcal meninigitis (no sepsis - no purpura, petechiae) who went
from being well kids to brain dead within 12-24 hours. Neither had
premortem LPs and both presented to the ED with posturing and herniation.
I think it is unclear of the contribution of the LP to the herniation.
Just an opinion.......
Steve Schexnayder, MD
Arkansas Children's Hospital
University of Arkansas for Medical Sciences
800 Marshall St., Slot 900, Little Rock, AR 72202
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